Discussion relating to the operations of MTA MetroNorth Railroad including west of Hudson operations and discussion of CtDOT sponsored rail operations such as Shore Line East and the Springfield to New Haven Hartford Line

Moderators: GirlOnTheTrain, nomis, FL9AC, Jeff Smith

  by flexliner
as an ENT specialist i can state that OSA (obstructive sleep apnea) is the new rising star in diagnoses.
just as laryngeal reflux was "the diagnosis of the 90s" OSA will be the diagnosis of the 2000s and 2010s etc

it is probably still way underdiagnosed.
we all thought it was funny when grandpa (or dad or grandma) snored but only recently have the effects of OSA been studied more in depth
and even now there are new treatments being studied (example - a base of tongue pacemaker - since collapse of the base of the tongue
is one of the mechanisms by which the airway is compromised during sleep.)

i can tell you that i take these patients seriously and send them all for a sleep test.
problem is some do not want to go ("its just snoring" "then why did you come see me in the first place" "it bothers the wife" "well it could be serious and needs to be checked"
"forget it")
another problem is that even when discovered many refuse the treatments offered.
not all the treatments are effective in every person (in medicine if there are many treatment options it means that THE treatment has not yet been found)
and another problem is the doctors

in my country OSA is reportable to the DMV. and is a criminal offense if not reported but if the person is treated it is not reportable.
and docs are afraid of reporting for fear of retribution by patient (physical or other violence and lawsuits etc)
so patient says i will get treated and so doc does not report him
patient does not get treatment and gets into an accident of whatever type.

it is not yet law but perhaps should be that people working jobs like bus or truck driver RR engineer/mass transit motorperson airline pilot etc get tested for OSA
perhaps someday every driver will need to be/
or maybe if Elon Musk google and whoever succeed in driverless cars (trucks busses trains?) maybe that will not be needed......

BTW if your parents snored and you are in late teens to twenties get a sleep test
article few years ago showed a not small percent of such kids to have occult OSA when they did a sleep test even absent symptoms.....
  by Jeff Smith
If you follow the "Unofficial" group on FB, you'd be amazed at the ignorant comments. That's why you should discuss it here!
  by mark777
The only "silver lining" I see in this is that with a considerable amount of attention being applied to sleep apnea and the profession of Engineer, that employees will be given more options for treatment. As has been with my personal experience, while most insurances cover CPAP as treatment, my insurance does not cover other devices such as mouth pieces. That's a big blow to a person like myself who were not compatible with the CPAP. In my case, the air circulating through my nose, (even with high humidity), would dry my nasal passages causing serious nose bleeds and migraines. My hope with other folks is that in the case of a RR employee who goes through a similar situation to mine, would not be restricted from certain treatments, and that their insurances would be obliged to cover all treatments that would treat sleep apnea. I would expect nothing less especially when a person who operates trains, (and seriously, eventually to anyone who operates any large machine or even a motor vehicle), suffers from sleep apnea but cannot tolerate the CPAP.
  by Martin Baumann
Have all the cars from this wreck (6222-6288-6345-6440-6188-6147-6156) been retired and what is the current status of Engine 225?
  by chrisf
225 was repaired and back into service by December 2014, if not earlier.
  by DutchRailnut
A few of damaged cars are at Stamford heavy repair shop, not seen any status on them yet.
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